Hospital Costs > In Kentucky > Lake Cumberland Regional Hospital, procedure costs

Lake Cumberland Regional Hospital, procedure costs

305 Langdon Street, Somerset, KY 42502,

Procedure Costs @ Lake Cumberland Regional Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc168348 / 16$53.278,301897 / 53$11.370,80969 / 37$10.144,40961 / 38
Simple Pneumonia & Pleurisy W Cc12282 / 6$29.897,301941 / 58$6.437,601278 / 48$5.280,151274 / 45
Simple Pneumonia & Pleurisy W Mcc12085 / 9$48.242,801856 / 53$9.263,561067 / 39$7.947,651067 / 39
Psychoses108185 / 11$17.480,40257 / 12$6.690,25164 / 9$5.373,51164 / 8
Chronic Obstructive Pulmonary Disease W Mcc10597 / 9$34.438,601711 / 55$7.442,381132 / 38$6.377,151127 / 46
Renal Failure W Cc94127 / 9$27.121,201556 / 43$6.375,521120 / 35$5.307,821112 / 37
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc91184 / 13$23.570,501767 / 49$5.162,101423 / 43$4.063,131412 / 46
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc8878 / 5$19.747,301534 / 50$4.810,681165 / 41$3.786,451162 / 41
Heart Failure & Shock W Cc83195 / 14$27.953,601853 / 50$6.544,161017 / 43$5.303,231015 / 33
G.I. Hemorrhage W Cc82136 / 10$27.692,501420 / 44$6.728,40799 / 40$5.180,79797 / 31
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc81483 / 22$77.536,302156 / 45$13.394,001122 / 35$11.249,201097 / 33
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc81115 / 8$92.980,501084 / 24$12.276,10589 / 9$10.920,20585 / 14
Heart Failure & Shock W Mcc81203 / 18$51.111,302015 / 52$9.765,141253 / 48$8.653,991250 / 46
Circulatory Disorders Except Ami, W Card Cath W/O Mcc79109 / 7$38.738,70907 / 24$7.010,43705 / 15$5.753,92703 / 23
Chronic Obstructive Pulmonary Disease W Cc73106 / 9$29.525,401693 / 52$6.209,961248 / 45$5.220,301243 / 49
Kidney & Urinary Tract Infections W/O Mcc72161 / 11$23.143,001859 / 53$5.201,501212 / 41$4.095,031203 / 43
Chest Pain6982 / 6$21.810,701043 / 32$4.297,13817 / 24$3.272,67812 / 29
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs67115 / 11$31.800,101236 / 28$6.995,39843 / 26$5.603,55841 / 21
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc6783 / 8$16.571,801155 / 35$4.053,821175 / 30$2.993,631170 / 34
Pulmonary Edema & Respiratory Failure63140 / 19$48.045,501715 / 50$7.937,33969 / 37$6.889,46968 / 43
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc5961 / 10$22.041,901410 / 52$5.036,811151 / 41$3.888,151142 / 46
Cardiac Arrhythmia & Conduction Disorders W Cc52109 / 9$22.982,701283 / 34$5.371,271078 / 29$4.377,421074 / 33
Respiratory Infections & Inflammations W Cc5137 / 3$39.502,00952 / 34$9.148,59711 / 30$7.773,29706 / 28
Transient Ischemia5075 / 6$25.008,40957 / 26$4.860,70812 / 21$3.723,78808 / 24
Respiratory System Diagnosis W Ventilator Support 96+ Hours4526 / 3$191.264,00716 / 20$31.383,20232 / 11$28.329,00232 / 10
Intracranial Hemorrhage Or Cerebral Infarction W Mcc45123 / 12$55.675,801061 / 20$10.833,40447 / 14$9.212,29446 / 13
Respiratory System Diagnosis W Ventilator Support <96 Hours4487 / 13$89.759,001413 / 41$14.971,50732 / 33$13.063,30724 / 26
Respiratory Infections & Inflammations W Mcc4492 / 8$61.001,701288 / 36$11.821,90616 / 24$10.707,60608 / 23
Syncope & Collapse43126 / 13$24.908,701212 / 33$5.015,401031 / 26$4.099,601024 / 32
Renal Failure W Mcc42153 / 20$63.041,501796 / 45$10.871,501326 / 37$9.730,831326 / 39
Spinal Fusion Except Cervical W/O Mcc41153 / 9$117.780,00920 / 11$23.023,10497 / 3$21.764,80494 / 6
Acute Myocardial Infarction, Discharged Alive W Cc4150 / 6$36.409,50944 / 26$6.706,63450 / 19$5.396,24449 / 16
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc4185 / 7$38.277,301265 / 29$7.473,59496 / 18$6.019,83493 / 15
Hip & Femur Procedures Except Major Joint W Cc41102 / 11$64.414,701456 / 33$11.724,20672 / 20$10.392,20669 / 20
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc39168 / 17$31.973,601730 / 44$6.965,74836 / 37$5.510,44834 / 29
Red Blood Cell Disorders W/O Mcc37106 / 13$22.207,201083 / 35$5.588,54898 / 36$4.407,95893 / 32
Heart Failure & Shock W/O Cc/Mcc3773 / 11$20.834,301346 / 41$4.727,951119 / 33$3.866,571110 / 36
Cellulitis W/O Mcc37152 / 18$27.810,502037 / 54$5.662,141368 / 41$4.598,001362 / 46
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3666 / 9$25.056,90903 / 18$5.135,17776 / 15$3.968,11772 / 18
Acute Myocardial Infarction, Discharged Alive W Mcc3689 / 13$54.448,301226 / 29$12.591,40836 / 29$9.831,36835 / 25
Cardiac Arrhythmia & Conduction Disorders W Mcc3588 / 14$42.143,301377 / 33$8.084,97860 / 25$6.912,17857 / 25
Hypertension W/O Mcc3134 / 1$17.670,40322 / 14$4.421,61339 / 12$3.260,81337 / 11
Diabetes W Cc2963 / 10$28.037,401111 / 27$5.595,59494 / 20$4.272,79494 / 15
Other Digestive System Diagnoses W Cc2869 / 4$23.751,20604 / 17$6.297,04568 / 17$5.335,32565 / 19
G.I. Hemorrhage W Mcc2893 / 13$54.534,401098 / 23$10.909,90589 / 17$9.887,96590 / 18
Simple Pneumonia & Pleurisy W/O Cc/Mcc2667 / 14$19.409,001153 / 47$4.912,691179 / 40$3.877,881173 / 48
G.I. Obstruction W Cc2567 / 14$25.197,801001 / 33$5.980,08936 / 26$5.000,96933 / 29
Other Vascular Procedures W Cc2478 / 11$89.642,40748 / 16$15.716,90410 / 8$14.461,70408 / 11
Kidney & Urinary Tract Infections W Mcc24120 / 18$38.434,501458 / 34$7.230,50890 / 28$6.208,54888 / 27
G.I. Obstruction W/O Cc/Mcc2348 / 8$21.307,60876 / 20$4.430,57689 / 14$3.241,00687 / 17
Seizures W/O Mcc2385 / 13$27.324,80860 / 20$5.097,22358 / 11$3.855,13356 / 12
Medical Back Problems W/O Mcc2398 / 13$27.852,30936 / 21$5.736,87445 / 17$4.147,39445 / 14
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc2231 / 6$27.704,80528 / 15$5.136,50393 / 12$3.986,36390 / 12
Cervical Spinal Fusion W/O Cc/Mcc2282 / 7$70.721,50586 / 16$13.567,70276 / 8$11.466,90275 / 9
Infectious & Parasitic Diseases W O.R. Procedure W Mcc21103 / 16$139.871,00926 / 20$30.359,10405 / 11$28.710,10404 / 14
Septicemia Or Severe Sepsis W Mv 96+ Hours2072 / 7$199.367,00746 / 17$35.310,20340 / 9$33.803,10339 / 10
Major Small & Large Bowel Procedures W Cc2088 / 14$91.236,201124 / 29$16.637,30341 / 23$13.016,30338 / 8
Poisoning & Toxic Effects Of Drugs W Mcc1953 / 8$48.677,10692 / 15$9.355,00128 / 10$6.940,95128 / 4
Circulatory Disorders Except Ami, W Card Cath W Mcc1974 / 10$53.861,20385 / 14$12.556,80251 / 8$11.295,00246 / 8
Major Small & Large Bowel Procedures W Mcc1966 / 11$200.020,001043 / 22$33.265,00634 / 13$31.254,30632 / 17
Disorders Of The Biliary Tract W Cc1836 / 3$29.862,80211 / 5$6.829,94132 / 2$5.724,83132 / 3
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1772 / 8$43.774,80520 / 12$7.009,24384 / 5$5.902,41383 / 9
Renal Failure W/O Cc/Mcc1739 / 9$16.464,60441 / 19$4.461,53514 / 16$3.616,59513 / 20
G.I. Hemorrhage W/O Cc/Mcc1751 / 8$21.589,80610 / 15$4.869,53482 / 11$3.735,88478 / 10
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc1654 / 5$22.272,70237 / 5$6.050,4455 / 4$4.467,0655 / 2
Extracranial Procedures W/O Cc/Mcc1682 / 14$46.369,20734 / 18$6.720,38496 / 10$5.739,94495 / 13
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents1684 / 16$141.610,00786 / 22$21.105,10507 / 13$19.703,10503 / 13
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc1550 / 12$121.763,00748 / 20$21.117,30521 / 17$19.534,30518 / 16
Red Blood Cell Disorders W Mcc1556 / 13$37.646,90643 / 18$7.999,00426 / 12$7.216,93424 / 13
Major Cardiovasc Procedures W/O Mcc1586 / 13$102.134,00601 / 10$20.296,90136 / 7$17.282,40136 / 5
Bronchitis & Asthma W Cc/Mcc1462 / 6$21.322,10434 / 11$5.828,79364 / 6$4.478,86360 / 7
Nonspecific Cerebrovascular Disorders W Cc1442 / 5$27.302,50263 / 9$6.317,21125 / 7$5.043,21125 / 5
Disorders Of Pancreas Except Malignancy W Cc1447 / 8$27.967,20569 / 18$6.023,86286 / 11$4.709,43285 / 9
Hip & Femur Procedures Except Major Joint W Mcc1448 / 13$100.194,00693 / 15$18.582,40109 / 10$15.232,40109 / 3
Laparoscopic Cholecystectomy W/O C.D.E. W Cc1343 / 12$85.356,60757 / 16$10.946,20487 / 12$9.501,54485 / 11
Coronary Bypass W Cardiac Cath W/O Mcc1363 / 12$192.220,00481 / 14$27.765,60267 / 5$26.154,20267 / 7
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1360 / 13$31.273,00691 / 17$7.575,77407 / 12$6.422,54406 / 11
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc1325 / 9$24.170,80322 / 13$4.665,85193 / 8$3.314,38193 / 6
Permanent Cardiac Pacemaker Implant W Cc1364 / 9$100.200,00772 / 13$16.635,50437 / 7$15.477,30436 / 7
Transurethral Procedures W Cc1328 / 6$33.406,20154 / 10$8.032,38121 / 5$6.764,15121 / 4
Peripheral Vascular Disorders W Cc1371 / 13$22.540,20519 / 15$6.086,54405 / 10$5.114,46403 / 11
Major Chest Procedures W Mcc1336 / 6$178.294,00248 / 10$32.005,80140 / 4$30.139,80140 / 4
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc1251 / 10$135.015,00422 / 9$27.775,50157 / 3$26.486,00157 / 3
Urinary Stones W/O Esw Lithotripsy W/O Mcc1234 / 7$23.842,20218 / 7$4.824,00154 / 3$3.491,42154 / 3
Poisoning & Toxic Effects Of Drugs W/O Mcc1249 / 10$25.850,60675 / 15$4.548,00346 / 10$3.459,50345 / 10
Craniotomy & Endovascular Intracranial Procedures W Mcc1286 / 9$139.414,00320 / 11$25.035,9090 / 4$23.712,1090 / 3
Seizures W Mcc1254 / 9$40.776,70370 / 10$9.320,50159 / 6$8.125,08159 / 6
Pulmonary Embolism W Mcc1132 / 7$50.953,70425 / 10$9.270,27146 / 6$7.963,91146 / 8
Esophagitis, Gastroent & Misc Digest Disorders W Mcc1185 / 17$35.265,40807 / 22$7.657,64299 / 17$6.242,00297 / 13
Diabetes W Mcc1146 / 9$49.766,20548 / 13$8.838,27252 / 10$7.835,82252 / 11
Atherosclerosis W/O Mcc1147 / 13$18.506,10279 / 11$4.346,36 / 12$3.357,82 /
Other Vascular Procedures W/O Cc/Mcc1145 / 11$68.394,20434 / 11$10.403,70238 / 5$9.360,09237 / 8
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc1151 / 9$22.158,70436 / 12$6.530,45196 / 12$3.595,82196 / 7
Total 93 procedures3.584discharges

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.